IM-59 June 25, 2015; IM-30 April 4, 2008
A participant of any age is not eligible for the SNC cash grant while in a State Psychiatric Hospital (MHC).
When an active SNC participant, age 65 years or older, enters a State Psychiatric Hospital refer to the policy in the Medical Assistance chapter for guidance in determining eligibility and transferring a case to vendor payments. Take action to stop the SNC cash grant, but continue MO HealthNet under SNC while vendor eligibility is being determined. Count any SNC payment the participant receives as income in the surplus computation.
If the Department of Health and Senior Services returns the Initial Assessment (DA-124) and indicates the participant is NOT medically certified for the MHC level of care follow the procedures in Section 0630.020.05 Pre-closing Ex Parte Review to determine the participant’s eligibility for non-vendor MO HealthNet.
When an active SNC participant under age 65 enters a State Psychiatric Hospital, take action to stop the SNC cash grant, but continue MO HealthNet under SNC while MHABD spend down/non-spend down eligibility is being determined.
NOTE: An advance notice of adverse action (IM-80) is not necessary to discontinue the SNC grant since the participant is entering an institution, where cash assistance may not be continued.